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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Management of Care15-21%- Management of Care
  • 1. Legal Rights and Responsibilities
  • 2. Informed Consent
  • 3. Continuity of Care
  • 4. Collaboration with Interdisciplinary Team
  • 5. Assignment, Delegation and Supervision
  • 6. Advance Directives
  • 7. Ethical Practice
  • 8. Performance Improvement and Quality Assurance
  • 9. Priority Setting
  • 10. Client Rights
  • 11. Confidentiality and Information Security
  • 12. Advocacy
  • 13. Case Management
Topic 2: Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Crisis Intervention
  • 2. Support Systems
  • 3. Behavioral Interventions
  • 4. Family Dynamics
  • 5. Mental Health Concepts
  • 6. Substance Use Disorders
  • 7. Coping Mechanisms
  • 8. Therapeutic Communication
Topic 3: Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Medication Administration
  • 2. Expected Actions and Outcomes
  • 3. Adverse Effects and Contraindications
  • 4. Blood and Blood Products
  • 5. Central Venous Access Devices
  • 6. Dosage Calculations
  • 7. Parenteral Therapies
Topic 4: Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Monitoring and Assessment
  • 2. Therapeutic Procedures
  • 3. Potential Complications
  • 4. Diagnostic Tests
  • 5. Changes in Vital Signs
  • 6. System-Specific Assessments
Topic 5: Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Health Promotion Programs
  • 2. Newborn Care
  • 3. Growth and Development
  • 4. Prenatal, Intrapartum and Postpartum Care
  • 5. Aging Process
  • 6. Disease Prevention
  • 7. Health Screening
Topic 6: Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Pathophysiology
  • 2. Hemodynamics
  • 3. Fluid and Electrolyte Imbalances
  • 4. Alterations in Body Systems
  • 5. Unexpected Response to Therapies
  • 6. Medical Emergencies
Topic 7: Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Home Safety
  • 2. Security Plans
  • 3. Infection Prevention and Control
  • 4. Emergency Response Planning
  • 5. Safe Use of Equipment
  • 6. Handling Hazardous Materials
  • 7. Standard and Transmission-Based Precautions
  • 8. Accident and Injury Prevention
Topic 8: Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Activities of Daily Living
  • 2. Rest and Sleep
  • 3. Mobility and Immobility
  • 4. Personal Hygiene
  • 5. Elimination
  • 6. Nutrition and Oral Hydration
  • 7. Assistive Devices

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q254-Q259):

NEW QUESTION # 254
A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband in her senior year of high school after becoming pregnant. Shortly after the baby was born, he began to physically abuse her. She has attempted to leave him several times, but she has always returned. She is unable to support herself financially, and her husband threatens to kill her if she leaves him. This time, her husband has beaten her so badly she cannot stop the bleeding from the gash above her eye. She admits her husband caused her injury. In assessing a person after experiencing spousal abuse, which need has the highest priority?

Answer: B

Explanation:
(A) Assessing the level of anxiety, coping responses, and support systems is very important, but not of highest priority at this time. (B) A history of physical abuse is an important part of assessment. The nurses must also always ask if there is abuse of the children. (C) Although all of these answers are very important in assessment, the highest priority is assessment of suicide potential, because this could cause the greatest harm to the client. Feeling there is no other way out, abused spouses may consider suicide. (D) The spouse may be self-medicating herself with alcohol or drugs to escape an awful situation. The abuser may also be abusing drugs or alcohol. If this is so, the nurse should encourage the spouse to seek counseling and not to return to the home.


NEW QUESTION # 255
A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Celery is high in sodium. (B) Potatoes are high in potassium. (C) Tomatoes are high in sodium. (D) Liver is high in iron.


NEW QUESTION # 256
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

Answer: C

Explanation:
(A)
Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations.
(B)
The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause
fetal distress and does not stop the delivery process.


NEW QUESTION # 257
A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?

Answer: A

Explanation:
(A) With a pneumothorax, air occupies the pleural space. Crackles or rales are heard with increased fluid or secretions and would not be present with air in the space. (B) With a pneumothorax, the client would experience tachypnea and tachycardia to compensate for the decrease in oxygenation. (C) Symptoms of pneumothorax include shortness of breath, sharp pain on the affected side with movement or coughing, asymmetrical chest expansion, and diminished or absent breath sounds on the affected side. (D) With a pneumothorax, breath sounds would be decreased on the affected side (indicates air in the pleural space).


NEW QUESTION # 258
A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:

Answer: D


NEW QUESTION # 259
......

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